Valley Pediatric Pulmonary Medical Corp.
LBN: Valley Pediatric Pulmonary Medical Corp.
Valley Pediatric Pulmonary Medical Corp. is an health care organization with primary practice located at 9300 Valley Childrens Pl , Madera CA 93638-8761. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Pulmonology, which is considered as the primary health care specialty.
Valley Pediatric Pulmonary Medical Corp. can be contacted via phone (559) 353-5550, or through Reddivalam, Sudhakar L. via phone (559) 353-5550.
Contact Information
Primary practice address
9300 Valley Childrens Pl
Madera CA 93638-8761
Phone: (559) 353-5550
Fax: (559) 353-5587
Website:
Authorized official contact:
Name: Reddivalam, Sudhakar L. Doctor of Medicine (MD)
Phone: (559) 353-5550
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Pulmonology | 2080P0214X | 2080P0214X | California |
Profile Details
| NPI number | 1285788398 |
|---|---|
| LBN Legal business name | Valley Pediatric Pulmonary Medical Corp. |
| DBA Doing business as | |
| Authorized official | Reddivalam, Sudhakar L. Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 23rd, 2007 |
| Last updated | Aug 22nd, 2020 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285788398 | NPPES |
| California | Other | A49339 | CA LICENSE # |
| California | MEDICAID | GR0103350 | CA LICENSE # |
| California | Other | A49421 | CA LICENSE # |
| California | Other | A76613 | CA LICENSE # |
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